Consent Form for Disclosure to Parents, Sponsors, and Recruiters

To: Registrar, University of Nevada Reno, 
      Managing Director, Nevada Global

From:





Date of Birth



Types Of Information


If you agree that the University of Nevada Reno and Nevada Global may disclose information from your education records to your parents/guardians, your sponsor (if applicable), and your recruiter, please sign the following consent:


I consent to the disclosure of any personally identifiable information from my education records to the individual(s)/organizations(s) named below, for reasons determined by the University of Nevada Reno or Nevada Global as appropriate.  I understand that the purpose of the disclosure is to inform the parties listed below of my progress and status at the University of Nevada Reno, as well as any circumstances affecting my attendance at the University of Nevada Reno.  I understand that my education records may be disclosed to my Parents/Guardians through the Recruiter and that the Recruiter may only re-disclose education records to my Parents/Guardians identified below.  This authorization will remain in effect for the duration of my tenure at the University of Nevada Reno, but I may revoke the consent by written notice at anytime.*

Please type your full name
Parents/Guardians:
1.



2.



Sponsor (if applicable):




Recruiter:





*Students cannot be denied any educational services from Nevada Global if they refuse to provide consent.

Submit
To complete the FERPA submission process, follow these steps:
  1. Click the "Submit" button below. 
  2. Review your information on the form that opens.
  3. Add your e-signature and click the "Submit Signed Response" button. 
  4. Once you have submitted your e-signature, a verification email will be sent to you. Click the link in the email you receive to complete the submission process.